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BUILDING PERMIT APPLICATION
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 07/09/2021 Permit Number: S5'U. Iuaa Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR:HVAC / Mechanical X I PROPOSED IMPROVEMENT LOCATION: I Address: 3015 W DIXIE BLVD FORT PIERCE, FL 34946 PropertyTaxlD#: 1 428-702-0569-000-8 Lot No.1 & 2 Site Plan Name: 3015 W DIXIE BLVD Block No. 33 Project Name: GWEN MCLOED DETAILED DESCRIPTION OF WORK: Exact AC change out, no duct work 2.5 Ton, 15.5 Seer,10 KW New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: Additional work to be performed under this permit —check all that apply: Mechanical Electric _Gas Tank — Plumbing Total Sq. Ft of Construction: _ Cost of Construction: $ 7,849 —Gas Piping _ Sprinklers Shutters Windows/Doors _ Pond _ Generator Sq. Ft. of First Floor: Utilities: —Sewer _Septic Roof Pitch Building Height: OWNER/LESSEE: CONTRACTOR: Name Gwendolyn D McLeod Name: Dennis Zacek Address: 3015 W DIXIE BLVD Company: ARS Rescue Rooter City: FORT PIERCE State: FL Address: 2800 U S HWY 1 Zip Code: 34946 Fax: City: Vero Beach State: FL Phone No. 772-940-1632 Zip Code: 32960 Fax: E-Mail: Phone No 772-794-7205 Fill in fee simple Title Holder on next page ( If different E-Mail mgillis@ars.com from the Owner listed above) State or County License CMC1249753 It value of construction is 2500 or more, a RECORDED Notice of Commencement is required. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply. In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in paying twice for improvements to your property. A Notice of Commencement must be recorded in the public records of St. Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attornev before commencina work or recording vour Notice of Commencement. @A ln�& - 61.;�_ Signature of Contra ctor4jje lel rise Holder Signature o Owner/ Less a ontractor as Agent for Owner STATE OF FLORIDA STATE OF FLORIDA COUNTY OFSTLUCIE COUNTY OFSTLUCIE Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of A Physical Presence or Online Notarization A P ysical Presfnce or Online Notarization this -_ft_ day of �� ,V_ 2020 by this day of 2020 by DENIMS ZACEK DENNIS ZACEK Name of person making statement. Name of person making statement. Personally Known x OR Produced Identification Personally Known x OR Produced identification Type of Identification Type of Identification Produced I :Vpw�� 6a'— Produ e (Signature of Notary PuRc A.Ei2ricla nature of Notary Pu ' MIRANDAGILLIS �tY?+q"•. MIRANDAGILLIS Commission No. HH04ssss ?, MY COMMISSION mmission No. HHaa5sss : , ;#_ MY COMMISSION # HH 045659 # HH 045659 r EXPIRES: Se a ' EXPIRES: September 23, 2024 T'9 Ple IL er 23, 2024 Bonded Thru Notary Public Underwriters Und rnrtt REVIEWS FRONT ZONING S U P E R V 1--S== LANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Installation Work Order Est. Start Date oa -D4-1M Making it work. Making it right• SIZE L . TYPE . EFFlCIENCY SUBTOTAL MONTHLY E CUSTIOM INITIALS Warr Parts (772 )567-3100 Est. Completion Date0�-04- 2800 US Highway 1, Vero Beach, FL32960 American Residential Services of Florida, Inc. License fk CMC1249753, CAC1813963, EC13008558 E WUL I CALL SLIP W�Mwj SUBTOTAL CUST MER INITIALS = Labor I Wa nty:" Parts Compressor Hoat ExcIianger 1_ j Compressor '•Unkm orh6twise noted all w TwwGcs arc from the-kn1dact0w. d Weatherproof G'i Reconnect Drain Line Disconnect a Ceiling Savor Kit Lifetime Equipment Slab (Pan & Float) Sound Isolation Pads l4fdain Dram Safety Switch Liquid Tile Conduit 66 Seal New Qmnoctions ❑ Start Kit Support Attic Equipment Refrigerant LL Dryer— Gf Supply Plenum ❑ New fid Roconnecl Refrigerant Pipe ❑ Now 61 Reconnect LI Return Plenum ❑ Refrigerant Pipe Cover ❑ Now ❑ Reconnect ❑ Expansion Valvo ❑ Electronic Air Cleaner _ EJT--stal-Type WLff , ❑ Media Filler [dConnect to Existing ❑ PCO — Electrical ❑ UV Light Iltd Now Plywood Deck ❑ Humidifier 37 S AR R 79 SIZE ZoDiTYPE 5,►M- ?� _� EFFICIENCY �Ltta.tl�lt� U vo- $ )Ck�— A $ - I7pnr'►o 1s1-55— SUBTOTAL $ ONTHLY EST.' $ CUSTOMER INITIALS — - - - Laa Warranty:-j0jT Parts Labor anger I io rr _Compressor ZQtB_Heat Exchanger ❑ Dehumidifier ❑ Outdoor Unit Pad ❑Flue Venting ❑ Ductwork Connections' ❑ Connect to existing pbrtum ❑ Duct Modifications (swe Notes for scope or w0M ❑ New Duct System ❑ No Duct Work ❑ Fuel Piping ❑ Electrical Wiring ❑ PROS Club Membership 1 Term (364 days) 56 Comfort Guarantee Sf Home Protection Guarantee of 24-Hour Service Guarantee Its 1009b Unconditionat MorieyBack Guaranlee SAN tTIZE. D vc.TLA )0Rrc- HUr4atCANf_-zi-RAPS N EST TN Etz"0S�-"�` INCLUp>� ALLPeAj,r-A 1T0) SELECTED OPTION: ❑ 1 02 03 SUBTOTAL $_ $ TOTAL $ S qq ❑ CASH ❑ CHECK#t _ ❑ CREDIT CARD (LAST 40s) 7FINANCING APPROVAL JAD %mm provider by Enmear# USA Llembn RMC, on *Avo"d e+edr br a s.0 rrna EN&ANW m1dr Pt7mrwe lj rd w e.99% a 90% rm.d APR lone, deperdrq an tow armum e%ckm ea ai Apt 1. 2M ircwe tree •w Mom ae le to a an4r FAenem ben rnwde appy. rxr.r inencnp oV9 * mqr be ave�eEie. Mo 04.1Nrm tsT Frop'c40 -I NO PftC-pwvfACNrP0MV-VV j No "\aoEfs Gvsrs iCompany is not responsible for preexisting duetwerk. See Tema and Conditions on the back of this docu rent for detaas. • Wniten cuslomer aufhorization will be obtained before beginning any unlorosocn addilional or extended work. • ANY CLAIMS FOR CONSTRUCTION DEFECTS ARE SUBJECT TO THE NOTICE AND CURE PROVISIONS OF CHAPTER 558, FLORIDA STATUTES. BUYER'S RIGHT TO CANCEL: This Is a home sofidiatfon sale, and if you do not want the goods or services, you may cancel this agreement by providing written notice to the se1w'n person, by telegram, or by mail. This notice must indicate that you do not want the goods or services and must be delivered or postmarked before midnight of the third business day after you sign this agreement If you cancel this agreement. the seller may not keep all or part of any cash down payment See the reverse side hereof for an explanation of this right . I acknowfodge That my right to cancol has been cxpkKnod to me orally and in wriling, and vnlhoul waning my right to cancel 1 authorize the porioimant e of the work, subject to all terms and condillorrs set forth on the reverse side horeot, plus any lakes upon completion. Notice To Owner - Do not sign this home improvement contract In blank .You are entitled toga copy of the contract at the time you sign. Keep It to protect 1� logs, rights. This home improvement contract may contain a mortgage e or otherwise create a lien on your property on ff you do rat pay. Be sure you understand all provisions of the contract before you sign. that could be foreclosed I 7-6 ��Q G/ pA CUM PAW REPRESDFIATNE CUSTOMER SIG RE r �7-^2) S� _ 669 q 0108-2CPA s�rv;oee ARs107a,F1,210210 L210210 Cell 0 202+ M.A. LLG. AN �• revw"W �'"''� 8250 Certificate of Product Ratinas AHRI Certified Reference Number: 9474136 Date: 07-09-2021 Model Status: Active AHRI Type: RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Slower) Series: COMFORT 14 AC Outdoor Unit Brand Name: CARRIER Outdoor Unit Model Number (Condenser or Single Package) : 24ACC430A'030' Indoor Unit Model Number (Evaporator andlor Air Handler) : FV4CNF002L Region: Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA, AK, CO, CT, ID, IL, IA, IN, KS, MA, ME, MI, MN, MO, MT, ND, NE, NH, NJ, NY, OH, OR, PA, RI, SD, UT, VT, WA, WV, WI, WY, U.S. Territories) Region Note: Central air conditioners manufactured prior to January 1, 2015 are eligible to be installed in all regions until June 30, 2016. Beginning July 1, 2016 central air conditioners can only be installed in region(s) for which they meet the regional efficiency requirement. The manufacturer of this CARRIER product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of AHRI 210/240 with Addendum 1, Performance Rating of Unitary Air -Conditioning & Air -Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity (A2) - Single or High Stage (95F), btuh : 28600 SEER: 15,50 EER (A2) - Single or High Stage (95F) : 13.00 t"Active" Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering for sale; OR new models that are being marketed but are not yet being produced "Produe..don Stopped' Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still !ling or offering for sale. d I i 1 n inv I n' r . The n li {atinq is shown alona with the Drerwii 43 WA r tin . DISCLAIMER AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility for, the product(s) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the product(s), or the unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the directory at www.ahridIrectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for Individual, personal and confidential reference purposes. The contents of this Certificate may not In whole or in part, be reproduced; copied; disseminated; entered Into a Computer database; or otherwise utilized, In any form or manner or by any means, except for the user's Individual, &911H] personal and confidential reference. AIR-CONDITIONING, BEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The Information for the model cited on this Certificate can be verified at www.ahridIrectory.org, click on 'Verity Certificate' link we make life herrer- and enter the AHRI Certified Reference Number and the date on which the certificate was Issued, which is listed above, and the Certificate No., which Is listed at bottom right. ©2021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132703159392248120 Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address: 3015 W DIX1E BLVD Sec/Town/Range: 32. 34S; 40E Parcel ID: 1428-702-0569-000-8 Jurisdiction: Saint Lucie County Ownership Gwendolyn D McLeod Nigell McLeod 3015 W Dixie Blvd Fort Pierce, FL 34946 Legal Description SAN LUCIE PLAZA S: D-UNIT ONE- BLK 33 LOTS 1 AND 2 (MAP 1432N) (OR 1147-689; 3258-2385) Current Values Just/Market Value: $91NO Assessed Value: $49,665 Exemptions: $25,000 Taxable Value: $24.665 Property taxes are subject to change upon change of ownership. • Past taxes are not a reliable projection of future taxes. • The sale of a property will prompt the removal of all exemptions, assessment caps, and special classifications. Taxes for this parcel: SLC Tax Collector's Office Download TRIM for this parcel: Download PDF 12 Use Type: 0100 Account #: 9724 Map ID: 14.32N Zoning: RS-4 Count Total Areas Finished/Under Air (SF): 1.206 Gross Sketched Area (SF): 1,782 Land Size (acres): 032 Land Size (SF): 13,800 Building Design Wind Speed Occupancy Category 1 II III & IV Speed 140 150 160 SourcesAnks: All information is believed to be correct at this time, but is subject to change and is provided without any warranty. :C- Copyright N21 Saint Lucie County Property Appraiser. All rights reserved.